Electrocardiogram (ECG/EKG)
Facility: Ellsworth County Medical Center
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $113
- Cash Discount Price: $119
- vs. Medicare Baseline: 7.36x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $15.36 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 736% of the Medicare baseline (a markup of 636%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Triwest -All Plans | $56 | 365% |
| Humana | $56 - $113 | 365% |
| Healthy Blue Mcr Adv | $56 | 365% |
| Va Ccn-All Plans | $56 | 365% |
| UnitedHealthcare | $77 - $119 | 501% |
| Aetna | $107 | 697% |
| First Health - All Plans | $107 | 697% |
| Cigna | $113 | 736% |
| Coventry Mcaid-All Plans | $119 | 775% |
| Medicaid / KanCare | $119 | 775% |
| Healthy Blue Mcaid- All Other Plans | $119 | 775% |
| Providers Care-Wppa-All Plans | $178 | 1159% |
Consumer Guidance & Cost Commentary
For the Electrocardiogram (ECG/EKG) procedure at Ellsworth County Medical Center in Ellsworth, KS, the cash price is $119.00, which matches the facility's negotiated median rate of $113.00 and the Medicare benchmark of $15.36. While commercial payers negotiate rates ranging from $56 to $178 depending on the plan, the cash price remains the lowest option available to patients. It is important to note that for individuals with high-deductible plans, paying cash directly can sometimes be more cost-effective than using insurance, as the negotiated rate paid by insurers often exceeds the cash price. Patients should verify with the hospital whether "self-pay" or "prompt-pay" discounts are available, as these upfront payment incentives can further reduce the final amount owed.
This facility, a Critical Access Hospital, operates with a proprietary ownership structure and a facility rating of 2. The data reflects a vintage of 2026-06, and while specific county or state average comparisons are not provided in the current dataset, the Medicare rate serves as the objective baseline for evaluating pricing markup. Under Medicare benchmarking principles, commercial rates typically range from 200% to 300% of the Medicare amount, though fair pricing is often defined as 120% to 150%. Given that the cash price here is significantly higher than the Medicare rate, patients should request an itemized billing audit to ensure no errors, such as code unbundling or charges for services not rendered, have inflated the total. Always confirm your deductible status before scheduling, as paying the full negotiated rate without meeting your deductible may result in higher